Thaddeus Wilson, M.D.
NPI 1417190869 · Emergency Medicine Physician · San Antonio, TX
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thaddeus Wilson, M.D. is a Emergency Medicine Physician provider in San Antonio, TX (NPI 1417190869).
Provider details
- NPI number
- 1417190869
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- Q4343 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 400 N State of Franklin RdJohnson City, TN 37604-6035Phone: (423) 431-6111
Registry dates
- Enumerated
- 2009-04-15
- Last updated
- 2019-02-21
Frequently asked questions
- What is Thaddeus Wilson's NPI number?
- Thaddeus Wilson's National Provider Identifier (NPI) is 1417190869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thaddeus Wilson's specialty?
- Thaddeus Wilson is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thaddeus Wilson located?
- Thaddeus Wilson's practice location on file with NPPES is 4204 Gardendale St, San Antonio, TX 78229-3132.
- What is Thaddeus Wilson's phone number?
- The practice phone number listed in the NPPES registry for Thaddeus Wilson is (210) 293-6003.
- Does Thaddeus Wilson accept Medicare?
- Thaddeus Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thaddeus Wilson's NPI active?
- Yes — Thaddeus Wilson's NPI (1417190869) is active in the NPPES registry as of the last update on 2019-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.